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POST surgical complications,recurrent vomitting sessions - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :   HOW MAY I HELP YOU?
User :   hi there i suffering from server vomiting & abdominal pain. i have been in hospital for 12 days & got relased a week ago as they could not find the course to me vomiting i had various test done eg, a endoscopy of my stomach, a berium testing xray & a camera of my anal passge. but all has come back clear & the doctors are unsure as to why i am having these symtoms
Doctor :   Have you had bloody diarheas as well?
User :   i continue to vomit even the tablets i have been given.
Doctor :   May I know your age, weight, height ?
User :   no dirrhora my bowle movements are limited as i cant kkep much down
User :   27 years, i was 7 stone but have gone down to 6.4 & im 5f 1
Doctor :   ok
Doctor :   Have any liver function tests done ?
User :   the doctors keep telling me i am suffering from post operative symtoms as i had a operation to have a choleccdchal cyst removed 9 weeks ago
Doctor :   ok
User :   yep all blood tests are normal
Doctor :   any jaundice, or discolration of the eyes etc ?
User :   but i was fine after the operation i had some sickness & pain but nothing like this
User :   no
User :   the doctors have said they are unsure as to why im vomiting & have done the test i have already named.
Doctor :   ok
Doctor :   may i know what medicine you are on?
User :   when i got attmitte dto hospital i was very deydrated needed lots of fluids & had different introvous anti sickness but nothin worked]
Doctor :   Can you mail the reports to me so that i can view them
User :   lansoprazole 30 mg
Doctor :   mainly the discharge summary from the hospital.
Doctor :   Was the surgery for the choledochal cyst uneventful ?
User :   memeverine 135mg, ondanstron for sickness 4mg & tramadol for pain & bucccastem 3mg
Doctor :   Coz, sometimes, post surgery, there may be adhesions within the abdominal cavity, which can block the bowels & cause diarhea, or intractable diarhea
User :   the operation went well but i suffered from wound infection afterwards
Doctor :   OK,
User :   i dont have dirrhoea but dont have much bowle movement at present as i cant keep much food down
Doctor :   also since the endoscopy , barium study were normal, i dont feel that there is anything within the bowels affecting its function.
Doctor :   Probably post surgical adhesions may be one of the causes of your vomiting
Doctor :   Did yoiu have any fever, Severe abdominal pain (BURNING type) or serious infection during hospitalisation, this time around?
User :   the hospital has run the tests i have named & found nothing apart from the berium test showed i am not digesting as quick as i should but they said that is normalafte rthe surgery i had
Doctor :   As i said, this could be the result of adhesions, which are not evident on an endoscopy.
Doctor :   or on a barium study.
Doctor :   If the condition does not subside, You may have to undergo a laparoscopy to rule out the adhesions, and if possible cut them out.
User :   no fever the pain is located around my right side underneath the rib cage its but its also tender to touch around my scar area
Doctor :   In any case, please scan the reports , and email it to YYYY@YYYY
User :   i had open surgery for the choledchal cyst
User :   the hopsital has got my scans & results
Doctor :   Oh ok, then my doubts have been strengthened that you may be having adhesions within the abdominal cavity .
User :   what is adhesions
Doctor :   Dont you have a copy with you ?
User :   no they dont give you a copy over here
User :   the tablets may have worked for the sickness & pain if i was able to keep the tablets down.
Doctor :   ADHESIONS - are soft tissue strings, that occur after surgery (mainly after open surgery) and bind the inner bowels and intestines
Doctor :   these adhesions prevent the normal movement of the bowels
User :   i feel really week tird & dizzy & to be honest really fed up as nothing can be found
Doctor :   and instead cause them to move abnormally and cause symptoms like recurrent vomiting, diarhea (sometimes)
Doctor :   I do understand your desperation.
User :   the doctors surly would have throught of this adhesions
Doctor :   if the surgery was done laparoscopically, the chances of adhesions would be minimum
Doctor :   were you treated by a gastroenterologist in the hospital ?
User :   would the berium xrays not have picked this up
Doctor :   no
User :   yep by a cconsulatant surgon
Doctor :   barium Xrays see the inside of the intestines, adhesions occur outside the bowel wall.
Doctor :   a general surgeon ?
User :   he crried out my operation & i was seen by many different consulatnts over the 12days
Doctor :   OR a surgeon specialised in gastroenterology
Doctor :   adhesions are rare,
Doctor :   But your presentation is classic for them
User :   a hepatobillary & pantreactic surgo whome speacilses in liverdiseses
Doctor :   was he the same one who operated on you?
User :   no
Doctor :   I would advise you, to consult him again
Doctor :   and put forward your doubts
User :   im due to see my surgon who operated on me in 2 weeks
Doctor :   OK
Doctor :   i hope your symptoms come down by then
User :   but need this vomiting to stop
Doctor :   PLEASE try some antiemtics like ondansetron as prescribed by your doctor
Doctor :   and keep yourslef hydrated
User :   ill see my doctor & ask him bot adsion
User :   thanku
Doctor :   Since the time is up, i am sorry i could not help you more
Doctor :   thanks for consulting me here
Doctor :   GOOD LUCK
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